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EP1581896B1 - Procédé de production de pièces prothétiques dentaires ou de restaurations dentaires au moyen de représentations dentaires électroniques - Google Patents

Procédé de production de pièces prothétiques dentaires ou de restaurations dentaires au moyen de représentations dentaires électroniques Download PDF

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Publication number
EP1581896B1
EP1581896B1 EP03785641.6A EP03785641A EP1581896B1 EP 1581896 B1 EP1581896 B1 EP 1581896B1 EP 03785641 A EP03785641 A EP 03785641A EP 1581896 B1 EP1581896 B1 EP 1581896B1
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Prior art keywords
tooth
correspondence
defective
data set
points
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German (de)
English (en)
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EP1581896A2 (fr
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Albert Mehl
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Sirona Dental Systems GmbH
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Sirona Dental Systems GmbH
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Priority to DK16152909.4T priority Critical patent/DK3091454T3/da
Priority to EP16152909.4A priority patent/EP3091454B1/fr
Publication of EP1581896A2 publication Critical patent/EP1581896A2/fr
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    • GPHYSICS
    • G05CONTROLLING; REGULATING
    • G05BCONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B19/00Programme-control systems
    • G05B19/02Programme-control systems electric
    • G05B19/18Numerical control [NC], i.e. automatically operating machines, in particular machine tools, e.g. in a manufacturing environment, so as to execute positioning, movement or co-ordinated operations by means of programme data in numerical form
    • G05B19/4097Numerical control [NC], i.e. automatically operating machines, in particular machine tools, e.g. in a manufacturing environment, so as to execute positioning, movement or co-ordinated operations by means of programme data in numerical form characterised by using design data to control NC machines, e.g. CAD/CAM
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C9/00Impression cups, i.e. impression trays; Impression methods
    • A61C9/004Means or methods for taking digitized impressions
    • A61C9/0046Data acquisition means or methods
    • A61C9/0053Optical means or methods, e.g. scanning the teeth by a laser or light beam
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F18/00Pattern recognition
    • G06F18/20Analysing
    • G06F18/28Determining representative reference patterns, e.g. by averaging or distorting; Generating dictionaries
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00Products made by additive manufacturing
    • GPHYSICS
    • G05CONTROLLING; REGULATING
    • G05BCONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B2219/00Program-control systems
    • G05B2219/30Nc systems
    • G05B2219/35Nc in input of data, input till input file format
    • G05B2219/35152Part coding, description from 3-D cad database
    • GPHYSICS
    • G05CONTROLLING; REGULATING
    • G05BCONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B2219/00Program-control systems
    • G05B2219/30Nc systems
    • G05B2219/45Nc applications
    • G05B2219/45167Dentist, dental manufacture
    • GPHYSICS
    • G05CONTROLLING; REGULATING
    • G05BCONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
    • G05B2219/00Program-control systems
    • G05B2219/30Nc systems
    • G05B2219/45Nc applications
    • G05B2219/45172Prosthesis
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Definitions

  • the invention relates to a method for producing a general three-dimensional electronic image of a tooth and its use for the production of dental models, dental prostheses or dental restorations of teeth requiring repair or defect situations.
  • tooth defects there are various options for the treatment of tooth defects.
  • One possibility is the direct application of filling material in the mouth, i.
  • the dentist removes the decay and fills the hole in the same session with a filling material.
  • This procedure is chosen especially for smaller defects.
  • For larger defects one resorts more to materials such as metal or ceramics, etc., which can not be made directly in the mouth.
  • the occlusal design in the mouth is more problematic and difficult to perform for larger defects. Therefore, an impression is taken at the dentist after preparation of the tooth. This impression is placed in a dental laboratory and a plaster model is created.
  • the corresponding tooth restoration or tooth replacement part can then be made. This can e.g.
  • a second possibility consists in a further three-dimensional optical measurement either of the existing occlusal surface before the tooth is ground, or a chewing surface individually modeled with wax or plastic (eg Mattiola, A., Mörmann, WH and Lutz, F .: "Computer-Assisted Occlusion of Cerec 2 Inlays and Overlays". Switzerland Monatsschr Zahnmed 105: 1283-1290 (1995 ) Mehl, A., Gloger, W., Hickel, R .: Generation of CAD data records for inlays and crowns with functional occlusal surfaces. Dtsch Zahnärztl Z 52, 520-524 (1997 )).
  • the preparation and the occlusal surface measurement can be positioned to each other and the complete restoration can be supplemented.
  • a wax-up must be created manually, so that the advantage of automation by the CAD / CAM system is no longer given.
  • the initial occlusal surface will not be usable due to existing carious defects or inadequate restorations, so that this possibility is limited only for a small limited indication range.
  • An additional option will be in WO 0239056 presented.
  • a patient archiving system such as smart card for the patient, described, which includes the tooth data are stored. These tooth data can then be re-used at a later time when supplies are made to the patient and used to reconstruct the defect.
  • the generic tooth forms used in this method are not tooth shapes derived from a database by calculation or algorithm and thus not generic tooth models described in the sense of the present invention, but standardized plaster models that are only scanned three-dimensionally and this data set for reconstruction is used.
  • the disadvantage here too is that the standardization is not based on a general design principle and the design is based only on the manual dexterity and the experience of individual experts with corresponding restriction of the naturally occurring variety of forms.
  • Tooth models are used as prosthetic teeth, as stand-alone models, as components of exercise, training and visual models or for presentation in electronic media or print media. Delimitation is the term of the generic tooth model or generic tooth model data set, as it will be explained below.
  • the invention provides a method for producing an electronic data set of a generic tooth model that can be used for the production of a tooth replacement part, a dental restoration or a tooth model, as specified in claim 1. This can be used to make tooth models, dental prostheses or dental restorations.
  • a use of the method for producing an electronic data set of the generic tooth model is specified in claim 4.
  • a use of a numerically controlled machine for the production of dental models, dental prostheses or dental restorations, in that the machine is controlled accordingly with a data set obtained according to the invention, is specified in claim 14. Further developments of the method according to the invention are specified in the dependent claims.
  • a device for visualizing, adapting and adjusting a generic dental model data record is specified in claims 15 and 16.
  • a data set of a generic tooth model obtained in accordance with the invention is particularly suitable as a starting point for the production of a dental prosthesis, a dental restoration or a dental model, because the generic dental model data set, in contrast to a conventional electronic dental model is not based on more or less nature-conforming ideas of the author of the electronic tooth model, but is determined by real teeth.
  • the natural tooth shape expressed in the generic tooth model is the rash and not a human notion originated tooth model.
  • the generic tooth model obtained according to the invention can be used as the starting point and this data set adapted to existing remaining tooth surface parts of the tooth to be repaired or Restgebisssituation to each tooth to be repaired by modified by interactive intervention or by software controlled automatic this record is to make the said adaptation to the tooth surface remnants of the tooth to be repaired or surrounding the tooth to be repaired Restgebisssituation.
  • the method according to claim 1 provides that, based on a correspondence analysis, a principal axis analysis and a linear combination are performed as described in these claims, from which a generic tooth model data set is prepared.
  • a generic tooth model data set is prepared.
  • the adaptation of the generic tooth model data record to the part of the tooth requiring repair can be done in an interactive manner or also fully automatically by means of software control and processing.
  • the method of claim 1 is concerned with the provision of a generic dental model dataset of a particular type of tooth (e.g., OK-6, or even large, medium and small OK-6, etc.). These surfaces already allow a sufficient tooth-like reconstruction for many situations. Furthermore, the generic tooth model data set that any change made to that surface under certain criteria (see below) will most likely yield a natural occlusal surface and that all possible variants of variation will describe the entirety of almost all naturally occurring tooth morphologies , The number of adaptation variables is low and the reconstruction of tooth surfaces can be automated.
  • a generic dental model dataset of a particular type of tooth e.g., OK-6, or even large, medium and small OK-6, etc.
  • this generic dental model data set is carried out over the largest possible number of records of the same tooth type.
  • the electronic data sets can be measured both two- and three-dimensional. Two-dimensional measurement is possible, for example, with metric photography, three-dimensional, for example, with white-light fringe projection, etc. Stereophotogrammetric methods would also be conceivable. For the reconstruction of teeth requiring repair and defect situations, however, at least three-dimensionally measured data sets are required.
  • the type of tooth may be, for example, molars, premolars, canines and anteriors.
  • the tooth type can also be the upper jaw (OK) -6er, lower jaw (UK) -4er, OK-1er etc.
  • tooth type it is also possible to distinguish between age and abrasion, gender, ethnicity, size of teeth, morphological features etc, eg groups OK-7s at the age of 50-60 years, OC-6s with and without tuberculum Carabelli , UK 3s in female individuals, subdivision into large, medium, small 6s, etc. represent an example of a tooth type.
  • adjacent teeth can be combined into a (combined) tooth type to integrate or analyze relationships of adjacent teeth.
  • the selection of the tooth surface for the tooth in need of repair or for the defect situation could take place.
  • tooth type thus includes one depending on Task very variable grouping possibility, which is to be considered in the claims in their generality.
  • the respective data sets must be referenced to one another in a first step (brought into the same coordinate system and aligned approximately uniformly) and correspondences between the surface points of the one data set with the other data sets.
  • These correspondences are e.g. between prominent points and surface structures.
  • This assignment can be done manually, can be done by searching and assignment of certain characteristic feature structures (hump form, fissure course, sidebar, etc.).
  • a process is preferable here that automatically finds these correspondence points and / or structures, since there is still no proven metrically detectable fact which is really the salient points or structures or properties of a particular tooth type.
  • there is no reference in the entire dental literature to an approximate mathematical description of tooth surfaces that would be in any way suitable for the CAD / CAM process.
  • the following procedure has proved to be feasible: First, the data sets of the measured tooth surfaces of a specific tooth type are brought into the same coordinate system in order to obtain the best possible starting point for the automatic correspondence point determination. This can be done with matching routines by minimizing the distance error function, whereby rotation and translation parameters are determined. After the coordinate transformation, the correspondence analysis takes place. From image processing modified optical flow algorithms can be applied successfully. Furthermore, by means of elastic registration or matching of specific features (fissures, cusp tips, bumps, marginal ridges) between the individual tooth surfaces, correspondences can be formed and imaging rules can be found. At the end you get the assignment of many points by correspondences between all data sets.
  • the displacement field be pictorially behaving like an elastic membrane: between the distinct correspondences, this membrane is almost non-displaceable while being displaced therebetween, i. in areas with unclear or weak correspondences, can relax almost freely. This can be calculated, for example, by minimizing an energy function consisting of a coupling of many springs between the individual surface points (approximation of the continuous elastic membrane).
  • ⁇ m ⁇ ⁇ 2 z 2 x y + ⁇ ⁇ ⁇ z x y 2
  • defines the weighting of the gradient field in relation to the height image
  • the next step is to represent the reference tooth as a vector in a 3n-dimensional space (where n is the number of selected points on the tooth surface; ideally, one would use an equidistant grid that can give a typical number of points go from 10000-200000):
  • D ⁇ R x 1 . y 1 . z R x 1 y 1 . x 2 . y 2 . z R x 2 y 2 . 7-8 . x n . y n . z R x n y n
  • the same vector coordinates, ie indices, also represent respective corresponding points between all teeth.
  • this average data set is used as the average tooth of a specific tooth group (tooth type).
  • the first 7 major components accounted for approximately 70% of the total variance of 170 teeth.
  • any linear combination according to (equation 1) or (equation 2) will again describe a tooth.
  • a tooth data set generally generated by a linear combination of major axes and possibly addition of average tooth is referred to in this specification as a generic tooth model data set or as a generic tooth model with respect to the tooth type under consideration. Synonymous with this and in the abstract sense, the generic tooth model data set or the generic tooth model with respect to the considered tooth type is also understood in this patent specification as a combination of Data sets of the selected main axes and possibly the average tooth.
  • this combination can be physically imagined either as individual records linked by verkriüp colpfungen or references, or by merging into a large record. If a representation of this generic tooth model or generic tooth model data set is desired, only the special linear factors must be multiplied by the main axes and possibly the average tooth added.
  • the generic tooth model or the generic tooth model data record (hereinafter also abbreviated to "generic tooth”) thus represents a kind of mathematical description of the entire tooth space of the corresponding tooth type.
  • the reconstruction process for the tooth or defect situation requiring repair can be carried out by means of the generic tooth model and can also be largely automated.
  • Reconstruction means the complete or at least partial restoration of the missing outer shell of the tooth in need of repair or the defect situation.
  • the tooth in need of repair may be inlay, onlay, overlay, partial crown, crown, bridge preparations, etc.
  • the defect situation involves the filling of areas with missing teeth, for example bridge links, implant abutments or parts of partial dentures or teeth Full dentures.
  • the term residual situation in this specification is the measured information (in particular data records) of prepared tooth or teeth (tooth or teeth in need of repair) or defect situations and the additional optional inclusion of measured information of the residual tooth substance, the opposing jaw, the functional and the static / occlusal bite registration, the neighboring tooth / teeth and / or the gum portion or the ridge.
  • the opposing jaw only the inclusion of one or more opposing teeth, ie the tooth or teeth facing the tooth requiring repair or the defect situation, is generally sufficient.
  • the term Jacobstatt is synonymous with the technical term antagonist. In this patent, however, parts of the opposing jaw or the entire opposing jaw are also subsumed under the term opposing tooth.
  • ancillary conditions may be incorporated into this process, such as limiting the size of the parameters so that the result is not far out of tooth space, or the condition that the counter purchase area or functional registrate may not be penetrated at the points of contact. over touched. Also, quality parameters such as minimum layer thicknesses for a material or load-optimized surface design can be taken into account.
  • the properties of the generic tooth surface provide the best possible starting conditions for the reconstruction of tooth surfaces.
  • the task is to determine the parameters (linear factors) ⁇ i such that the resulting linear combination (ie new occlusal surface) adapts as well as possible to the existing situation. This is done, for example, by minimizing an error function.
  • the determined optimal generic tooth surface will fit very well into the given residual situation.
  • the residual situation is the measured information (in particular data records) of prepared tooth including residual tooth substance, opposing jaw, functional and static bite registration, neighboring teeth and / or also the course of the gum and the alveolar ridge.
  • Even smaller differences will result, such as e.g. small steps or gaps in the transition to the residual tooth substance, too high points that penetrate the bite registration or the neighboring tooth, missing contact points, etc.
  • missing surface areas such as approximal surfaces, oral and vestibular surfaces may have to be added.
  • Claim 5 includes the entire manufacturing process from surveying to production. Implementation variants listed above can be used analogously here. From the description and the drawings, a person skilled in the art can derive further variants, which are not listed individually here, so that these too can be regarded as being fully included in the patent specification.
  • Claim 6 relates to a method for producing a three-dimensional electronic data set of dental prostheses or dental restorations, wherein after the assignment of correspondence points and / or structures of the tooth to be repaired and / or the defect situation to the generic tooth model data set, the linear factors for the used part of the main axes are optimized in that the new linear combination optimally adapts or coincides with the correspondences.
  • Claim 7 relates to a method in which the linear factors are determined by minimizing the distances between the correspondence points.
  • Claim 8 relates to a method in which the linear factors are determined so that the probability of the determined linear combination is as high as possible.
  • Claim 9 relates to a method in which the optimization takes into account the importance of certain correspondence points and / or correspondence structures in the form of weighting factors.
  • Claim 10 refers explicitly to the consideration of functional and / or static or occlusal bite registries.
  • a major advantage of the total occlusal adaptation by means of mathematical or electronic procedure is that the entire production chain of opposing jaw impression, production of a plaster model of this jaw, Einartikulation of the opposing jaw and Assignment to the sawed or preparation model, until the determination and adjustment of the temporomandibular joint parameters etc. no longer has to perform.
  • the alternative here is the direct impression of the opposing jaw situation by means of bite registration in the mouth.
  • the static bite registration sometimes referred to as occlusal bite registration, is obtained by placing impression material in the desired location by biting the patient and gritting the teeth until the material sets.
  • Information about the jaw movements is obtained by the patient additionally performing as many different jaw movements as possible before setting the introduced impression material. This then results in the functional bite registration, sometimes referred to as FGP (function generated path).
  • FGP function generated path
  • this information can be included in the optimization or minimization methods in the form of boundary conditions. For example, this condition could be: contact points are points of contact (interpolation of the point with a second derivative equal to 0) with the bite registration, while the remaining areas of the reconstructed surface must not be touched.
  • the measured information of the adjacent teeth are additionally included for the Approximal voméquis (eg position of the proximal contact, expansion, etc.) and for the selection of correspondence points or structures (eg margins, shapes of occlusal surface, etc.).
  • Approximal perennialrises e.g position of the proximal contact, expansion, etc.
  • correspondence points or structures e.g margins, shapes of occlusal surface, etc.
  • individual points (eg contact points) or the shape and structures of the opposing tooth can be utilized for the correspondence formation and thus the selection of the best fitting tooth surface for the reconstruction of the tooth or defect situation requiring repair can be carried out.
  • the information of the corresponding symmetrically opposite tooth could be used, since it is often assumed that these tooth shapes are only mirror images, but otherwise very similar.
  • this claim includes the possibility of the relationships between adjacent teeth of the same patient found from the main axis analysis or correspondence analysis (eg in the production of the generic tooth model of adjacent teeth) from the information of the neighboring tooth / teeth on the to close the outer shell or at least parts of this outer shell.
  • One possibility is to optimize the parameters of the combined generic tooth model data set when adapting to the neighboring tooth / neighboring teeth, at the same time correspondingly changing the tooth surface to be reconstructed.
  • the same method is also applicable to the opposing tooth or the symmetrically opposite tooth.
  • the information of neighboring teeth / neighboring teeth, of opposing teeth and / or of the symmetrically opposite tooth / teeth can also consist of two-dimensionally measured data sets.
  • the or a particular concept favors, or before each new supply the desired contact points marked on the generic tooth, the corresponding correspondence points on the bite registration and / or the residual tooth substance or the neighboring tooth .
  • a functionally designed natural occlusal surface is obtained.
  • This procedure is only possible with generic teeth, since in the case of tooth libraries the best tooth can only be selected if the corresponding reference points of all teeth have to be redetermined when changing the contact / function situation, and a complex task is required for a large number of teeth.
  • deformation of only one model tooth which is not generated on the basis of a generic tooth and the principal component analysis has not been performed, there is no guarantee that the result will yield a harmonic, tooth-like result.
  • the occlusal surface belongs to the former
  • the vestibular, proximal and oral surfaces of the teeth belong to the former.
  • the specification of only a few design points is sufficient ( Fig. 8 and 16 ).
  • One way of implementing this is to compute Bezier, Nurbs, or B-spline surfaces that consistently and smoothly connect to the appropriate parts of the preparation margin and the border of the inserted library dataset, using the construction points (such as approximal contact, bulge of the vestibular surface). or oral surface).
  • each dental data record is assigned, either by referencing or by appropriate naming, a data set that contains the type and characteristics to be considered for the selection.
  • the library is said to consist of tooth surfaces derived from natural caries-free and intact teeth.
  • Tooth Library contains the totality of all possible natural and artificial tooth forms. It makes sense to divide the tooth library into groups with different tooth types. For example, this type of tooth grouping may include molars, premolars, canines, and anterior teeth. As a tooth type but also the OK-6, UK-4, OK-1er etc. are available. It is also possible to distinguish between age and abrasion, gender, ethnicity, size of teeth, morphological features etc, eg groups OK-7s at the age of 50-60 years, OC-6s with and without tuberculum Carabelli UK 3 in females represent an example of a type of tooth. The term tooth type thus includes a very variable grouping option depending on the task.
  • the factor age or abrasion wherein tooth library surfaces of a specific tooth type are to be present at all age or abrasion levels, can be taken into account and the determined combinations of linear factors and main components which describe this factor can be used optimally adjust the abrasion for the respective residual situation.
  • the distance threshold can also be varied or adaptively adjusted.
  • the distance threshold can also be varied or adaptively adjusted.
  • points in the cavity or on the ground areas of the tooth surface are not taken into account or are negligible due to the small number. This makes the automatic completion of the preparation line possible.
  • the search is made for areas where a transition from smaller distance values (areas where residual tooth substance is still present, in which the reconstructed occlusal surface usually has small deviations) to areas with larger distances (areas where the Tooth ground or tooth substance was removed) occurs. In these transitional areas must also be the preparation margin or at least parts of it ( Fig. 13 ).
  • This procedure can be improved if you look in these areas for the points of the strongest curvature on the surface of the record of the tooth in need of repair and connects these points strongest curvature in these areas to a line (eg Fig. 14 and 15 ).
  • a fully automatic process can be envisaged, from reconstruction to preparation margin determination.
  • this can also be used as support and proposal submission for further interactive reworking by the user.
  • the entry of the preparation margin is possible interactively.
  • points are clicked on the surface of the electronic image of the tooth in need of repair at certain intervals. This clicking can be done with various control and control elements, such as computer mouse, keyboard, joystick or 3D mouse. Between these selected points, a connecting line is interpolated in space. In order to get points from the measured tooth surface, the connecting line is projected onto the surface ( Fig. 14 ). It is crucial that the direction of projection can be chosen differently for certain section areas or for each section. This can be achieved eg by pre-programmed values or by interactive adjustment of the view of the tooth data set ( Fig. 14 ). This can be done, for example, by performing the projection of the line in the same direction in the view for marking or clicking on the respective point.
  • the connecting lines in addition to straight lines can also be spline or parabolic segments. Even after projection onto the surface, spline segments or the like can even smooth out the possibly jagged or noisy curves.
  • a particularly useful alternative is to search for points with the greatest curvature in the vicinity or even between the clicked points. Because of the procedure for preparing and grinding a tooth for restoration with a dental restoration, these are the locations where the preparation margin should be located. By connecting the points with the largest curvatures, ie a line of the largest curvatures, you get a very good proposal for the course of the preparation margin ( Fig. 15 ).
  • any defects found in the dataset of the dental restoration or dental prostheses can be found and closed. Such defects may arise, for example, in that the reconstructed occlusal surface or the reconstructed dataset does not cover the entire polished portion or the adaptation in the region of the preparation margin does not take place without errors and therefore the dataset protrudes in this region or has defects ( Fig. 6 . 8th . 15 ).
  • the preparation line By automatic comparison of the preparation line with the boundary curve of the reconstructed data set, it can be decided by distance checking which regions of the lines or curves are too far apart and therefore necessitate a filling or supplementation ( Fig. 15 ).
  • the relevant sections of the boundary curve must still be assigned automatically to the corresponding sections of the preparation boundary.
  • Fig. 1 Shows a three-dimensionally measured tooth requiring repair as a height dataset.
  • Fig. 2 shows a bite registration referenced to a tooth in need of repair.
  • This bite registration contains information about the antagonist. It may be either a static bite registration and / or a functional bite registration and / or the opposing teeth row. The important thing is that this information be referenced in the same coordinate system as the tooth.
  • Figure 3 shows the same situation as in Fig. 2 , but with adjacent teeth (top) and additional bite registration (bottom). The entire arrangement represents the residual situation.
  • the adjacent teeth provide, for example, the information for the mesial-distal extent of the reconstructed outer shell. Moreover, based on the shape of the
  • Neighbor teeth are made a selection for the tooth surface (outer shell), which are eligible for reconstruction in the appropriate situation.
  • Fig. 4 By marking points on the residual tooth surface and / or contact points on the bite registration (counter tooth row) and / or the proximal contact of the adjacent tooth, the tooth surfaces can be optimally adapted either by the library or by the generic tooth with major components by minimizing a corresponding error function. Instead of the dot marks one can also select larger areas, such as residual tooth substance and / or contact surfaces, by means of which the tooth surfaces are adapted by matching or optical flow. It is also possible to determine the locations of possible contact points automatically by comparing the functional bite registration and the static (occlusal) bite registration.
  • Fig. 5 shows a chewing surface selected from the library and transformed to the position or a generic occlusal surface, adapted to the situation by optimizing the linear factors of the main components. In both cases, one obtains a relatively good result, which still needs to be adapted by deformation to the edges and the Gegenbebergerung.
  • Fig. 8 If there is little or no residual tooth substance (eg crown preparations), the missing outer surfaces are supplemented over the entire circular area. It makes sense to specify some construction points. The supplement will usually be automated. The further requirement is a smooth transition in the peripheral areas.
  • residual tooth substance eg crown preparations
  • Fig. 9 shows an example of a generically generated tooth surface. This is, for example, an average tooth, which was calculated from 200 juvenile unbroken first maxillary molars (OK-6).
  • the generic occlusal surface with the main components can in turn be adapted to the residual situation by using the residual tooth substance ( Fig. 10 ) and / or by selecting certain points on bite registration ( Figure 11 ) and / or adjacent teeth etc.
  • the selection of specific contact and feature points or structures can be made directly before the calculation and construction by means of the generic tooth model data set, since it suffices to mark these points on the generic tooth .
  • every single tooth would have to be provided with the new feature points. This therefore allows a quick change depending on the situation to implement different occlusion and shape concepts.

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Claims (16)

  1. Procédé de réalisation d'un enregistrement électronique d'un modèle de dent générique utilisable pour la fabrication d'une pièce de prothèse dentaire, d'une restauration dentaire ou d'un modèle de dent, comprenant les étapes de procédé suivantes:
    a) en mesurant un nombre minimum prédéterminé de dents du même type de dent, on génère une pluralité d'enregistrements électroniques de ce type de dent;
    b) une affectation d'au moins un certain nombre de points de correspondance et/ou de structures de correspondance caractéristiques de ce type de dent est effectuée dans les enregistrements électroniques individuels;
    c) une analyse d'axe principal est exécutée pour les points de correspondance et/ou les structures de correspondance affectés des dents mesurées;
    d) une combinaison linéaire composée d'au moins d'une partie des axes principaux résultants est exécutée pour le type de dent en question et mise à disposition sous la forme d'un enregistrement de modèle de dent générique.
  2. Procédé selon la revendication 1, dans lequel l'affectation des points de correspondance et/ou des structures de correspondance est effectuée automatiquement.
  3. Procédé selon l'une quelconque des revendications 1 ou 2, dans lequel pour l'affectation des points de correspondance et/ou des structures de correspondance, on utilise une combinaison pondérée des données électroniques correspondantes, composée au moins de valeurs de hauteur et de pentes et/ou de courbures.
  4. Utilisation d'une représentation électronique d'un modèle de dent générique, obtenue par le procédé selon l'une quelconque des revendications 1 à 3, pour une réalisation de modèles de dent, de restaurations dentaires ou de pièces de prothèse dentaire physiques au moyen d'une machine commandée selon l'enregistrement de modèle de dent générique ou bien par des parties de ces enregistrements.
  5. Procédé de fabrication de pièces de prothèse dentaire ou de restaurations dentaires physiques pour des dents abîmées ou pour des situations d'édentement en utilisant une représentation électronique d'un modèle de dent générique obtenue par le procédé selon l'une quelconque des revendications 1 à 4, comprenant les étapes suivantes:
    a) un mesurage en trois dimensions d'une préparation de la dent abîmée ou d'une situation d'édentement est effectué et un enregistrement électronique représentant la préparation ou la situation d'édentement est généré;
    b) parmi les informations électroniques de la préparation mesurée ou de la situation d'édentement mesurée, on sélectionne des points de correspondance et/ou des structures de correspondance caractéristiques du type de dent de la dent abîmée ou du type de dent adapté à la situation d'édentement;
    c) les points de correspondance et/ou les structures de correspondance dans l'enregistrement électronique de la préparation ou de la situation d'édentement mesurée sont affectés à des points de correspondance et/ou des structures de correspondance adéquats dans l'enregistrement du modèle de dent générique;
    d) les points de correspondance et/ou les structures de correspondance affectés les uns aux autres sont dans la mesure du possible approximés par un procédé d'optimisation;
    e) l'enregistrement déterminé par l'optimisation est utilisé comme base d'une reconstruction de la partie manquante de la dent abîmée ou pour combler la situation d'édentement;
    f) une pièce de prothèse dentaire physique ou une restauration dentaire physique pour la dent abîmée ou pour la situation d'édentement est fabriquée au moyen d'une machine commandée par l'enregistrement obtenu à l'étape e).
  6. Procédé selon la revendication 5 pour réaliser un enregistrement électronique tridimensionnel de pièces de prothèse dentaire ou de restaurations dentaires, dans lequel, une fois l'affectation de points et/ou de structures de correspondance de la dent abîmée et/ou de la situation d'édentement à l'enregistrement de modèle de dent générique effectuée, les facteurs linéaires pour la partie utilisée des axes principaux sont optimisés de telle sorte que la nouvelle combinaison linéaire adapte ou fait coïncider les correspondances aussi bien que possible.
  7. Procédé selon la revendication 6, dans lequel les facteurs linéaires sont déterminés en minimisant les distances entre les points de correspondance.
  8. Procédé selon la revendication 6 ou 7, dans lequel les facteurs linéaires sont déterminés de telle sorte que la probabilité de la combinaison linéaire déterminée est aussi élevée que possible.
  9. Procédé selon l'une quelconque des revendications 5 à 8, dans lequel l'optimisation tient compte de la pondération de certains points de correspondance et/ou structures de correspondance sous la forme de facteurs de pondération.
  10. Procédé selon l'une quelconque des revendications 5 à 9, dans lequel des enregistrements électroniques d'un enregistrement d'occlusion fonctionnel et/ou d'un enregistrement d'occlusion statique sont pris en compte.
  11. Procédé selon la revendication 10, dans lequel les informations de l'enregistrement d'occlusion sont incorporées pour former les points de correspondance et/ou les structures de correspondance en vue de la reconstruction de la dent abîmée et/ou de la situation d'édentement.
  12. Procédé selon la revendication 10 ou 11, dans lequel les plages possibles des points de contact avec la ou les dents antagonistes sont déterminées sous la forme de points de correspondance et/ou de structures de correspondance par la sélection des zones à faibles distances entre ces enregistrements d'occlusion en superposant l'enregistrement de l'enregistrement d'occlusion statique/occlusal à l'enregistrement de l'enregistrement d'occlusion fonctionnel.
  13. Procédé selon l'une quelconque des revendications 5 à 12, dans lequel des données électroniques dérivées d'au moins une dent voisine et/ou d'au moins une dent antagoniste et/ou d'au moins une dent symétriquement opposée sont incorporées pour former les points de correspondance et/ou les structures de correspondance en vue de la reconstruction de la dent abîmée et/ou de la situation d'édentement.
  14. Utilisation d'une machine à commande numérique pour fabriquer des modèles de dent, des restaurations dentaires ou des pièces de prothèse dentaire en commandant la machine selon l'enregistrement obtenu par le procédé selon l'une quelconque des revendications 1 à 13.
  15. Dispositif de modification d'un enregistrement de modèle de dent générique obtenu par un procédé selon l'une quelconque des revendications 1 à 3, présentant un dispositif de régulation permettant de modifier les facteurs linéaires au moins d'une partie des principaux composants de l'enregistrement de modèle de dent générique.
  16. Dispositif selon la revendication 15, comprenant un dispositif d'imagerie couplé au dispositif de régulation pour l'imagerie de la dent générique correspondant à l'enregistrement de modèle de dent générique et de l'effet d'une modification des facteurs linéaires effectuée au moyen du dispositif de régulation.
EP03785641.6A 2002-11-11 2003-11-10 Procédé de production de pièces prothétiques dentaires ou de restaurations dentaires au moyen de représentations dentaires électroniques Expired - Lifetime EP1581896B1 (fr)

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EP16152909.4A EP3091454B1 (fr) 2002-11-11 2003-11-10 Procede de fabrication de protheses dentaires ou de restaurations dentaires a l'aide de representation electronique de la dent

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DE10252298A DE10252298B3 (de) 2002-11-11 2002-11-11 Verfahren zur Herstellung von Zahnersatzteilen oder Zahnrestaurationen unter Verwendung elektronischer Zahndarstellungen
DE10252298 2002-11-11
PCT/EP2003/012525 WO2004044787A2 (fr) 2002-11-11 2003-11-10 Procede de production de pieces prothetiques dentaires ou de restaurations dentaires au moyen de representations dentaires electroniques

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CA2739586A1 (fr) 2004-05-27
DK1581896T3 (en) 2016-10-24
EP1581896A2 (fr) 2005-10-05
US8727776B2 (en) 2014-05-20
EP3091454B1 (fr) 2019-10-02
CA2505892C (fr) 2015-04-07
US20120171642A1 (en) 2012-07-05
US9672444B2 (en) 2017-06-06
WO2004044787A2 (fr) 2004-05-27
ES2593708T3 (es) 2016-12-12
CA2739586C (fr) 2015-06-30
AU2003294708A8 (en) 2004-06-03
DK3091454T3 (da) 2020-01-13
WO2004044787A3 (fr) 2007-11-15
CA2505892A1 (fr) 2004-05-27
US20060063135A1 (en) 2006-03-23
EP3091454A1 (fr) 2016-11-09
AU2003294708A1 (en) 2004-06-03
DE10252298B3 (de) 2004-08-19

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